[{“box”:0,”content”:”[if 992 equals=”Open Access”]n
n
Open Access
nn
n
n[/if 992]n
n
n
n
n
n
Kapil Sharma, Amrit Kaur, Babita Rani, Sunil Singh, P.L. Gautam,
n
- n t
n
n
n[/foreach]
n
n[if 2099 not_equal=”Yes”]n
- [foreach 286] [if 1175 not_equal=””]n t
- Associate Professor, Advance Nurse Practitioner, Assistant Professor, Assistant Professor, Professor Department of Medical Surgical Nursing, Dayanand Medical College & Hospital, CON, Department of Medical Surgical Nursing, Dayanand Medical College & Hospital,, Department of Medical Surgical Nursing, Dayanand Medical College & Hospital, CON, Department of Medical Surgical Nursing, Dayanand Medical College & Hospital, CON,, Department of Critical Care Medicine, Dayanand Medical College & Hospital, Punjab, Punjab, Ludhiana, Punjab, Punjab India, India, India, India, India
n[/if 1175][/foreach]
n[/if 2099][if 2099 equals=”Yes”][/if 2099]n
Abstract
nEndotracheal intubation is an urgent procedure which is performed on patients who are unconscious and can’t breathe by their own. Endotracheal Intubation keeps an airway open and helps to prevent chocking. When the patient is intubated, maintaining the endotracheal tube placement is essential. In case Endotracheal Tube is not secured, even basic nursing management can cause tubing slippage which is a major factor in causing airway trauma or injuries Aim: To assess the effect of Twill Technique vs Endotracheal Tube Holder on Endotracheal Tube Securement [ETTS] Outcomes among orally intubated patients admitted in ICUs. Methodology: A post-test only control group design (two experimental groups) was used to assess the effect of Twill Technique vs Endotracheal Tube Holder on Endotracheal Tube Securement [ETTS] Outcomes among orally intubated patients. Results: The findings showed that for general assessment, it was found that statistically significant results were found between two experimental groups in GCS on day 2 (p=0.017), in P/F ratio on day1 (p=0.004). But most of the observations were statistically non-significant. Conclusion: Hence, Endotracheal Tube Holder can be recommended for Endotracheal Tube security in clinical practice.
n
Keywords: Twill Technique, Endotracheal Tube Holder, Endotracheal Tube Securement [ETTS] Outcomes, orally intubated patients, nursing management
n[if 424 equals=”Regular Issue”][This article belongs to Research & Reviews: A Journal of Medicine(rrjom)]
n
n
n
n
n
nn[if 992 equals=”Open Access”] Full Text PDF Download[/if 992] n
nn[if 379 not_equal=””]n
Browse Figures
n
n[/if 379]n
References
n[if 1104 equals=””]n
- What Is a Ventilator? NHLBI, NIH. 2022. Available from: https://www.nhlbi.nih.gov/health/ventilator
- Dunleap. Safe and easy ways to secure breathing tubesRN (1987) Aug; 50(8):26–27. ISSN: 0033–7021: Available from https:// pubmed.ncbi.nlm.nih.gov/ PMID3649900
- Evron S, Weisenberg M, Harow E, Khazin V, Szmuk P, Gavish D, Ezri T. Proper insertion depth of endotracheal tubes in adults by topographic landmarks measurements. Journal of clinical anesthesia. 2007 Feb 1;19(1):15-9.
- What Is an Endotracheal Tube?. Verywell Health. 2023. Available from: https://www.verywellhealth.com/endotracheal-tube-information-2249093
- Krinsley JS, Barone JE. The drive to survive: unplanned extubation in the ICU. Chest. 2005 Aug 1;128(2):560-6.
- Bouza C, Garcia E, Diaz M, Segovia E, Rodriguez I. Unplanned extubation in orally intubated medical patients in the intensive care unit: a prospective cohort study. Heart & Lung. 2007 Jul 1;36(4):270-6.
- Jarachovic M, Mason M, Kerber K, McNett M. The role of standardized protocols in unplanned extubations in a medical intensive care unit. American journal of critical care. 2011 Jul 1;20(4):304-12.
- Chevron V, Menard JF, Richard JC, Girault C, Leroy J, Bonmarchand G. Unplanned extubation: risk factors of development and predictive criteria for reintubation. Critical care medicine. 1998 Jun 1;26(6):1049-53.
- M. Birkett, K.A. Southerland, Reporting slippage, Intensive and Critical Care Nursing. 2005 April; 21 (2): 65–75.doi: 10.1016/j. ejcdt. 2014.09.006 : ISSN: 0964–3397
- Kamalipour, K. Kardan. New method for the fixation of the endotracheal tube in patients with facial and hair. Eastern Mediterranean health journal. 2003 Jan-Mar; 9 (1) :108–12: ISSN: 1020– 3397
- Barnson, J. Graham, C. Wild et al. Comparison of two endotracheal tube securement techniques on unplanned extubation, oral mucosa and facial skin integrity. Heart Lung. 1998 Nov-Dec; 27(6):409–17
- C. Mion, A.F. Minnick, R.M. Leipsig, et al. Patient-initiated device removal in ICUs: A National Prevalence Study. Crit. Care Med. 2007 Dec [cited 2022April7];35(12):2714–2720:
- Carlson, J. Mayrose, R. Krause, D. Jehle. Extubation force: tape versus endotracheal tube holders. Annals of Emergency Medicine. 50 (6) 2007 Dec; 50 (6) :686–91
- Yeh SH, Lee LN, Ho TH, Chiang MC, Lin LW. Implications of nursing care in the occurrence and consequences of unplanned extubation in adult intensive care units. International journal of nursing studies. 2004 Mar 1;41(3):255-62.
- da Silva PS, Fonseca MC. Unplanned endotracheal extubations in the intensive care unit: systematic review, critical appraisal, and evidence-based recommendations. Anesthesia & Analgesia. 2012 May 1;114(5):1003-14.
- Roberts JR, Hedges JR. Roberts and Hedges’ clinical procedures in emergency medicine E-book. Elsevier Health Sciences; 2013 May 28.
- Finucane BT, Santora AH.Principles of Airway Management. British journal of Anaesthesia. 3rd ed. New York, NY: Springer; 2003 Dec; 91 (6):927
- Robert JT. Fundamentals of Tracheal Intubation. New York, NY: Grune and Stratton; 1983 Aug.
- Boulain T. Unplanned extubations in the adult intensive care unit: A prospective mulicenter study. American Journal of Respiratory and Critical Care Medicine. 1998 Apr; 157 (4 Pt 1) :1131-7
- Wilcox SR, Bittner EA, Elmer J, Seigel TA, Nguyen NT, Dhillon A, et al. Neuromuscular blocking agent administration for emergent tracheal intubation is associated with decreased prevalence of procedure-related complications. Critical Care Medicine. 2012 Jun;40(6):1808–13
- Kapadia FN, Tekawade PC, Nath SS, Pachpute SS, Saverkar SS, Bhise RA, Chavan AC, Varghese SJ, Kantak VU, Kshirsagar RV, Neve VA, D’souza SO. A prolonged observational study of tracheal tube displacements: Benchmarking an incidence <0.5-1% in a medical-surgical adult intensive care unit. Indian Journal of Critical Care Medicine. 2014 May;18(5):273-7
nn[/if 1104][if 1104 not_equal=””]n
- [foreach 1102]n t
- [if 1106 equals=””], [/if 1106][if 1106 not_equal=””],[/if 1106]
n[/foreach]
n[/if 1104]
nn
nn[if 1114 equals=”Yes”]n
n[/if 1114]
n
n
n
nnn
n
| Volume | 14 | |
| [if 424 equals=”Regular Issue”]Issue[/if 424][if 424 equals=”Special Issue”]Special Issue[/if 424] [if 424 equals=”Conference”][/if 424] | 02 | |
| Received | May 27, 2024 | |
| Accepted | June 26, 2024 | |
| Published | August 21, 2024 |
n
n
n
n
n
n nfunction myFunction2() {nvar x = document.getElementById(“browsefigure”);nif (x.style.display === “block”) {nx.style.display = “none”;n}nelse { x.style.display = “Block”; }n}ndocument.querySelector(“.prevBtn”).addEventListener(“click”, () => {nchangeSlides(-1);n});ndocument.querySelector(“.nextBtn”).addEventListener(“click”, () => {nchangeSlides(1);n});nvar slideIndex = 1;nshowSlides(slideIndex);nfunction changeSlides(n) {nshowSlides((slideIndex += n));n}nfunction currentSlide(n) {nshowSlides((slideIndex = n));n}nfunction showSlides(n) {nvar i;nvar slides = document.getElementsByClassName(“Slide”);nvar dots = document.getElementsByClassName(“Navdot”);nif (n > slides.length) { slideIndex = 1; }nif (n (item.style.display = “none”));nArray.from(dots).forEach(nitem => (item.className = item.className.replace(” selected”, “”))n);nslides[slideIndex – 1].style.display = “block”;ndots[slideIndex – 1].className += ” selected”;n}n”}]